| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS. SVCS., INC. | P.O. BOX 2158 RIVERSIDE, CA 92506 | HEALTH NET | $9K | — | $9K | 2.35% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS. SVCS., INC. | 2393 TOWNSGATE ROAD SUITE 101 WESTLAKE VILLAGE, CA 91361 | AFLAC | $4K | — | $4K | 20.32% |
| MJ INSURANCE3 Filed as: KELVIN RICE AND VARIOUS AGENTS | 102 CRICHTON COURT DOTHAN, AL 36305 | AFLAC | $2K | — | $2K | 7.98% |
| RENEEE SUZANNE CORSO3 | 5805 SEPULVEDA BLVD. SUITE 700 SHERMAN OAKS, CA 91441 | AFLAC | $645 | — | $645 | 2.94% |
| ADRIAN GONZALEZ3 | 5805 SEPULVEDA BLVD. SUITE 740 SHERMAN OAKS, CA 91411 | AFLAC | $589 | — | $589 | 2.69% |
| MARYA P. GALLEGOS3 | 19545 SHERMAN WAY SUITE 3B RESEDA, CA 91335 | AFLAC | $528 | — | $528 | 2.41% |
| JEFFREY REED3 | 29167 FLEETA ROAD OPP, AL 36467 | AFLAC | $477 | — | $477 | 2.18% |
| GILBERT BAUER3 | 2103 BROOKHILL ROAD DOTHAN, AL 36301 | AFLAC | $477 | — | $477 | 2.18% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS. SVCS. INC. | 3390 UNIVERSITY AVENUE SUITE 300 RIVERSIDE, CA 92501 | HUMANA INSURANCE COMPANY | $1K | — | $1K | 6.29% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS. SVCS., INC. | 3390 UNIVERSITY AVENUE SUITE 300 RIVERSIDE, CA 92501 | EYEMED | $857 | — | $857 | 11.27% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS. SVCS., INC. | 3390 UNIVERSITY AVENUE SUITE 300 RIVERSIDE, CA 92501 | HUMANA DENTAL INSURANCE COMPANY | $414 | — | $414 | 6.29% |
No Schedule C service providers reported on this filing.
Benefits declared on the Form 5500 main form (✓ = also has a Schedule A insurance contract; otherwise the benefit is funded out of plan assets or via a Schedule C TPA).
The plan reports several different headcounts depending on which form you read. Each one measures a different slice of the population.
| Active participants | 0 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 0 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | HEALTH NET | 104 | $399K |
| Dental(2 contracts, 2 carriers) | HUMANA INSURANCE COMPANY | 58 | $28K |
| Vision | EYEMED | 108 | $8K |
| Life insurance | AFLAC | 69 | $22K |
| Short-term disability | AFLAC | 69 | $22K |
| Prescription drug | HEALTH NET | 104 | $399K |
| Other | AFLAC | 69 | $22K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 108 | — |
Why the numbers differ. Form 5500 line 6 counts employees + retirees + beneficiaries; no dependents. Schedule A persons-covered counts everyone enrolled, including spouses and children, so it usually exceeds line 6 by 30-60% on a working-age workforce. The medical row is normally the broadest single line because it has the highest take-up; dental/vision/life often dip below it. Stop-loss / reinsurance contracts sometimes report the carrier's full underwriting pool rather than this filer's headcount; the row is shown for transparency but shouldn't be read as "people in this plan."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Final-filing indicator set. Plan is winding down; don't waste sales effort here.